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The role of the supervisor in hospitals is to oversee and encourage the active work participation of registered nurses. In this context, leadership should be focused on the creation of a positive environment for the generation of high-quality care and the development of attitudes that have a beneficial influence on the work of the registered nurse. The aims of this study have been: (i) To verify if the quality of the supervisor-nurse interpersonal relationship was correlated with organisational commitment; (ii) to establish if the correlation could be moderated by empowerment, perceived organisational support, and leader-leader exchange. A cross-sectional survey with self-report questionnaires was performed. A total of 2541 registered nurses from nine public hospitals participated in the study. They completed scales measuring leader-member exchange, commitment, empowerment, perceived organisational support, and leader-leader exchange. There was a positive correlation between the quality of the leader-member exchange and commitment. Leader-leader exchange has a moderating effect on this relationship. The moderating effects of empowerment, perceived organisational support, and leader-member exchange on the supervisor-nurse interpersonal relationship and the nurse's organisational commitment are influenced by sex and/or hospital size. Organisations should design supervisor training strategies aimed at establishing high-quality supervisor-nurse interpersonal relationships.

international journal of environmental  research and public health/international journal of environmental research and public health

The Correlation between Leader–Member Exchange and Organisational Commitment among Spanish Registered Nurses: The Moderating Role of Sex and Hospital Size